26D0436982 CLIA NUMBER - GATEWAY PEDIATRICS LTD

Laboratory Demographics

  • CLIA Code: 26D0436982
  • Facility Name: GATEWAY PEDIATRICS LTD
  • Facility Address: 224 S WOODS MILL RD STE 720S
    CHESTERFIELD, MO
    ZIP 63017
  • Facility Phone: 314 434-4010
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WALTER F. BENOIST
  • NPI Number: 1801193149
  • Taxonomy: 111N00000X - Chiropractor

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CLIA Record

Field Name Field Value
CLIA Number 26D0436982
LAB Type Physician Office
Facility Name GATEWAY PEDIATRICS LTD
Street 224 S WOODS MILL RD STE 720S
City CHESTERFIELD
State MO
ZIP 63017
Phone 314 434-4010
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director WALTER F. BENOIST

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This page was last updated on: 9/29/2025